Santo Domingo.- National Health Insurance (SENASA) director Altagracia Guzmán Marcelino said Tuesday that each affiliate of the more than two million members of the subsidized regime needs to pay 25 pesos more into Social Security (SDSS), to ensure services and its financial sustainability.
She said if the quota is raised from RD$181.37 to RD$206, instead of the RD$5.0 billion which is this year’s budget for Senasa, there would be RD$6.0 billion to provide coverage to members.
Guzman said the annual budget is drafted according to the number of affiliates and the quota of RD$181.37 “is arguably low and is insufficient, so we believe it will be a topic for the next administration and next budget of 2013.”
The official said the quota hasn’t been indexed since October 2002 and in there was a financial crisis 2003 and 2004 and runaway inflation at over 200%. “For example, on cancer, the prices of medicines are indexed in dollars, a similar case occurs with the heart, so we believe that quota increase and improved network must go hand in hand.”
In the case of contributory formula, with 454,721 members, Marcelino said in the first quarter SENASA earned 42.4 million pesos, however, the subsidized had a negative balance of RD$149. 3 million, and pensioners and retirees -6.5 million, which she expects to correct if Congress approves RD$500 million requested in the Supplementary Budget, which in turn would be enough to cover the rest of the year and close with a lower loss.